ELG Eligibility Response

Rel
AtMax 25

To provide eligibility or response information.

Elements

PositionElementNameTypeMin/MaxRepeat
I010BenefitMandatory
AtMax 1
I006DateRel
AtMax 2
3
7701
Service Type, codedRelAlphanumeric1/3AtMax 1
I009QuantityRel
AtMax 1
5
4712
Coverage DescriptionRelAlphanumeric1/70AtMax 1
6
4701
Coverage Level, codedRelAlphanumeric1/3AtMax 1
7
4703
Insurance Type, codedRelAlphanumeric1/3AtMax 1
8
4711
Condition/Response, codedRelAlphanumeric1/3AtMax 1
9
4711
Condition/Response, codedRelAlphanumeric1/3AtMax 1
I003Product/ServiceRel
AtMax 1

Element Details

ID7701
NameService Type, coded
LengthMin 1 / Max 3
Position3
RequirementRel